| NPI | 1245453398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN255146) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VT 026.0135023) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 255146) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0134152) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-08-12 |